AGNP BOARD EXAM QUESTIONS Cardiovascular Assessment (107 Questions and Answers) (LATEST 2021)

1.Question: The preauricular nodes drain lymphatic fluid from the: palpebral conjunctiva and the skin adjacent to the ear within the temporal region. Correct eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek. mouth, throat, and face. posterior part of the temporoparietal region. Explanation: The preauricular nodes drain lymphatic fluid from the palpebral conjunctiva as well as the skin adjacent to the ear within the temporal region. Tonsillar, submandibular, and submental nodes (anterior and superficial cervical lymph nodes) drain lymphatic fluid from portions of the mouth , throat, and face. The facial lymph nodes (infraorbital or maxillary, buccinator, and supramandibular) drain lymphatic fluid from the eyelids, the conjunctiva, and the skin and mucous membranes of the nose and cheek. The posterior auricular lymph nodes drain lymphatic fluid from the posterior part of the temporoparietal region. 2.Question: When auscultating the heart, the displacement of the point of maximal impulse (PMI) is greater than 10 cm lateral to the midsternal line. This finding is consistent with: right ventricular hypertrophy. left ventricular hypertrophy. Correct pulmonary stenosis. a normal PMI location. Explanation: Displacement of the PMI lateral to the midclavicular line or greater than 10 cm lateral to the midsternal line suggests left ventricular hypertrophy (LVH). 3.Question: When auscultating the heart of a 55-year-old patient, a loud murmur with a thrill is audible in the right second intercostal space that radiates to the carotid arteries. Also noted is a crescendodecrescendo pitch audible at the apex. The murmur is heard best with the patient sitting and leaning forward. This finding is consistent with: pulmonic stenosis. tricuspid regurgitation. mitral regurgitation. aortic stenosis. Correct Explanation: With aortic stenosis, the murmur is audible loudest in the right second intercostal space and radiates to the carotid arteries, down the left sternal border, or the apex. There is a crescendodecrescendo pitch audible at the apex. The murmur is heard best with the patient sitting and leaning forward. The murmur audible with pulmonic stenosis produces a soft intensity with a crescendo-decrescendo pitch. It is loudest at the second or third intercostal spaces and radiates to the left shoulder and neck. With tricuspid regurgitation, the murmur is audible loudest at the left sternal border with radiation to the right sternal border, xiphoid area, or to the left midclavicular line. It produces a blowing sound and is pansystolic. The intensity may increase with inspiration. Mitral regurgitation produces a pansystolic, harsh murmur heard loudest at the apex with radiation toward the left axilla. The intensity of the murmur can be soft, or if there is an atrial thrill, it can be loud.